What are the different types of injuries to shoulder and neck? What is joint contracture?
A study was done in an obstetrical brachial plexus clinic in the Middle East. The author designed a study in which the indication for brachial plexus surgery in infants with Erb’s palsy was the lack of active elbow flexion against gravity at 4 months old. Forty-three infants were included in the study and were distributed among four groups: Group A included infants who had active elbow flexion at the initial assessment or at 2 months old; group B included infants who had active elbow flexion at 3 months old; group C included infants who had active elbow flexion at 4 months old; and group D included infants who did not have active elbow flexion at 4 months of age. At the final follow-up, all infants in group A demonstrated complete spontaneous recovery of the limb. All in group B also had satisfactory spontaneous recoveries and none required secondary corrective procedures. Five of the 11 patients in group C had satisfactory spontaneous recoveries. The remaining six children in group C
